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�S A N sJ O A Q U I N Environmental Health Department <br /> COUNTY <br /> 7. Delivery Limitation: Initial if you agree to abide by the following. <br /> I understand that I may accept orders and payments via the internet, mail or phone. However, all"Class A" and <br /> "Class B" CFO products must be delivered directly (in person) to the customer. The CFO products may not be <br /> delivered via the United States Postal Service, UPS, FedEx, or using any other indirect delivery method as <br /> deliveries are regulated by, and subject to, CDPH registration and state and federal requirements. <br /> 8. Owner's Statement: <br /> agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation (mark one) <br /> "Class A": In the event of a consumer El "Class B": For regular annual facility inspections <br /> complaint or reported food-borne illness and in the event of a consumer complaint or <br /> food-borne illness <br /> I, l , 1-%d r4l�-- agree to notify the San Joaquin County Environmental <br /> Health Department p for to modifying my food list, type of operation, and/or method of selling, distributing, or <br /> otherwise providing my CFO products to the consumer or retailers, regardless of whether the product is sold, <br /> consigned, or given away. <br /> r <br /> �' t/. CN t� 4-C;." <br /> J'Wn—ePs Signature Print Arame Date <br /> Made in a Home Kitchen <br /> Permit#PT0026941 <br /> Bill's Beans <br /> 18226 Exeter Ct. <br /> Lathrop CA 95330 <br /> 209-203-3275 call/text <br /> biliscofPeebeans@gmail.com <br /> Ingredients: Roasted Coffee Beans <br /> Net Weight: 12oz. (340.1949) <br />